MIKAEL MERENCIO

HAWTHORNE, CA
NPI1871001792
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-01-12
Last Update Date2018-01-12
Business Address
MIKAEL MERENCIO
2501 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250-3317
Phone number: 323-754-2816
Mailing Address
MIKAEL MERENCIO
9705 HOLMES AVE
LOS ANGELES, CA 90002-3031
Phone number: 213-909-4737
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